LESTELLA DOROTHY BELL BIVENS MD - Medical Doctor License in Illinois | # 036166568

LESTELLA DOROTHY BELL BIVENS MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166568

License Status

ACTIVE

Business

N

Title

MD

First Name

LESTELLA

Middle

DOROTHY BELL

Last Name

BIVENS

Business Name

LESTELLA DOROTHY BELL BIVENS MD

Original Issue Date

08/17/2023

Effective Date

08/17/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2023